Image Based Question-66746

Question

A patient presented with the following skin condition over the back.She is also under treatment for Epilepsy.What is the most probable diagnosis?

A. Staphylococcal Scalded Skin Syndrome

B. Toxic Shock Syndrome

C. Toxic Epidermal Necrolysis

D. Bullous Pemphigoid

Show Answer

Correct Answer » C

Explanation

Ans:C. Toxic Epidermal Necrolysis

Toxic epidermal necrolysis

It is a potentially life-threatening dermatologic disorder characterized by widespread erythema, necrosis, and bullous detachment of the epidermis and mucous membranes, resulting in exfoliation and possible sepsis and/or death .

Stevens-Johnson syndrome (also known as erythema multiforme major) is a manifestation of the same process involved in TEN, with the latter involving more extensive necrotic epidermal detachment. TEN involves more than 30% of the body surface, whereas SJS involves less than 10%

The most frequently affected mucosal membrane is the oropharynx, followed by the eyes and genitalia.

Treatment:

The mainstay of treatment is supportive care until the epithelium regenerates. Supportive measures include isolation, fluid and electrolyte balance, nutritional support, pain management, and protective dressings. Withdraw the offending agent, if one is identified, as soon as possible.